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WASHINGTON TOWNSHIP MEDICAL GROUP NPI 1174675417


NPI Information

NPI: 1174675417
Provider Name: WASHINGTON TOWNSHIP MEDICAL GROUP

Other Name: WASHINGTON TOWNSHIP MEDICAL GROUP, INC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
38690 STIVERS ST
SUITE A
FREMONT, CA
ZIP 94536
Phone: (510) 248-1040
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WASHINGTON TOWNSHIP MEDICAL GROUP is a family medicine in Fremont, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WASHINGTON TOWNSHIP MEDICAL GROUP NPI is 1174675417. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Washington Township Medical Group, Inc.

The provider's business location address is:

38690 STIVERS ST
SUITE A
FREMONT, CA
ZIP 94536-279
Phone: (510) 248-1040
Fax: (510) 797-7426

The provider's authorized official is Albert L Brooks .
The authorized official title is President and has the following contact phone number (510) 248-1000.

The enumeration date for this NPI number is 1/17/2007 and was last updated on 6/17/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Y00000XOtolaryngologyG36600CALIFORNIANo
2207Q00000XFamily MedicineG36600CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0104740MEDICAIDCALIFORNIA
2ZZZ04658ZMEDICARE PINCALIFORNIA
3ZZZ69533ZOTHERCALIFORNIABLUE SHIELD GRP PIN
4ZZZ69534ZOTHERCALIFORNIABLUE SHIELD 2ND LOCATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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